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首页> 外文期刊>BMC Health Services Research >Using an action learning methodology to develop skills of health managers: experiences from KwaZulu-Natal, South Africa
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Using an action learning methodology to develop skills of health managers: experiences from KwaZulu-Natal, South Africa

机译：使用行动学习方法来培养卫生经理的技能：南非夸祖鲁 - 纳塔尔的经验

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Strong management skills are key to improving performance of health systems. Action learning, a technique to develop management skills, has been used successfully with health managers but not usually among lower level managers or in low and middle-income countries (LMICs). This study uses a qualitative approach to explore experiences, successes and challenges of using an action learning approach to improve skills of managers in neonatal units in KwaZulu-Natal (KZN), South Africa. Eight action learning groups were convened with neonatal unit managers from all 39 district hospitals in KZN, each group had 4–6 participants. Meetings were conducted by a facilitator trained in action learning techniques, and groups met a minimum of ten times over a one-year period. After completion of the intervention, 14 in-depth interviews were conducted with purposively selected action learning participants. Data was transcribed and analysed using framework analysis. Neonatal unit managers found that action learning generated a sense of empowerment in their abilities, trust and confidence among participants was nurtured, problem solving and critical thinking skills were developed, and a continuous support system was created. The action learning process led to several positive changes in neonatal units, which enhanced the quality of care for patients. A number of challenges were also identified, mainly relating to administrative issues such as the provision of a skilled facilitator, permission to attend action learning meetings and logistical issues, including transport and other financial implications. This paper illustrates that action learning can be an effective and practical method to support public health workers to manage their health units despite the challenges associated with the method. Time, energy and financial resources used to facilitate action learning for this cadre of health workers is rewarded by improved skills of managers and better quality of care for patients.
机译：强大的管理技能是提高卫生系统绩效的关键。行动学习，一种发展管理技能的技术，已成功使用卫生经理，但通常不在较低级别的经理或中低收入国家（LMIC）之间。本研究采用了一种定性方法来探讨使用行动学习方法的经验，成果和挑战，以提高南非夸祖鲁 - 纳塔尔（KZN）的新生儿单位管理人员技能。八项行动学习群体召开了来自KZN的所有39家地区医院的新生儿单位经理，每组有4-6名参与者。会议由培训人员学习技术培训的促进者进行，群体在一年内至少达到了十次。在完成干预后，有14个深入的访谈是用自由选择的行动学习参与者进行的。使用框架分析转录和分析数据。新生儿单位管理人员发现，行动学习在他们的能力中产生了赋权，参与者之间的信任和信心被培养，开发了问题解决和批判性思维技能，并创建了一个连续的支持系统。行动学习过程导致新生儿单位的几个积极变化，这提高了患者的护理质量。还确定了许多挑战，主要涉及提供熟练的协调人，参加行动学习会议和后勤问题的允许，包括运输和其他财务影响的行政问题。本文说明了行动学习可能是一种有效和实用的方法，以支持公共卫生工作人员，尽管与该方法有关的挑战，但尽管有挑战。用于促进该卫生工作者干部的行动学习的时间，能源和财政资源是通过改善管理者的技能和更好地为患者提供优质护理的奖励。

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